| Herminio Cuervo Md Pa | |
|
1601 Williamsburg Sq Lakeland FL 33803-4279 | |
| (863) 647-1684 | |
| (863) 647-2824 |
| Full Name | Herminio Cuervo Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1601 Williamsburg Sq, Lakeland, Florida |
| Authorized Official Name and Position | Herminio Cuervo (PRESIDENT) |
| Authorized Official Contact | 8636471684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herminio Cuervo Md Pa 1601 Williamsburg Sq Lakeland FL 33803-4279 Ph: (863) 647-1684 | Herminio Cuervo Md Pa 1601 Williamsburg Sq Lakeland FL 33803-4279 Ph: (863) 647-1684 |
| NPI Number | 1578616371 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/12/2011 |
| Medicare PECOS PAC ID | 2163528290 |
|---|---|
| Medicare Enrollment ID | O20070505000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578616371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME0031030 (Florida) | Primary |
| Provider Name | Herminio Cuervo Delgado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215927371 PECOS PAC ID: 5597861807 Enrollment ID: I20070503000093 |
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